NPI | 1831551902 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 55927) |
Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: KY 55927) |
Enumeration Date | 2016-03-28 |
Last Update Date | 2022-08-19 |